Hormone therapy is cancer treatment that achieves its antitumour effect through changes in hormonal balance. It includes the administration of hormones, agents acting via hormonal mechanisms, antihormones and steroids.
The hormone therapy cluster consists of those data elements recommended for collection as best practice when the patient is administered hormone therapy as part of the initial course of treatment for cancer. The hormone therapy cluster collects information on the hormone therapy agent or protocol and the start and finish dates of treatment.
Information on the hormone therapy agent is required to evaluate patterns of care, the effectiveness of different treatment modalities and treatment by patient outcome. Collecting the start and finish dates will enable an estimate of the duration of hormone therapy and the time interval from diagnosis to treatment.
The use of standard definitions and formats supports the consistent collection and management of data and enables the integration of data from different sources. It provides a common language facilitating the interpretation and analysis of results, data linkage for statistical purposes, longitudinal studies and patient patterns of care and outcome studies. These results may then inform professional guidelines and training, quality assurance and the planning and evaluation of cancer control activities, potentially improving outcomes for patients.
Collection and usage attributes
Guide for use:
Standard protocols are available online at eviQ Cancer Treatments Online (www.eviQ.org.au). This website is powered by the Cancer Institute NSW and endorsed by Cancer Australia, and provides current, evidence based, best practice cancer treatment protocols and information. It is recommended that only regimen or protocol names listed in eviQ be used to record hormone therapy agents; in all other cases, record the full generic name of each individual hormone therapy agent for each course of treatment.
Hormone therapy agents are recorded for each course of hormone therapy administered during the initial course of treatment regardless of treatment intent or timing.
The data element Healthcare provider—organisation identifier, N(16) may be recorded for each treatment/cycle. It is recommended that, wherever possible, the database be configured to allow entry of different healthcare provider identifiers for each therapeutic mode/course of treatment/cycle.
The initial course of treatment includes all treatments administered to the patient from diagnosis and before disease progression or recurrence.
The start date and completion date of hormone therapy are recorded once only for hormone therapy administered during the initial course of treatment.
This information should be collected from the patient's medical record.
Source and reference attributes
American College of Surgeons 2002. Facility Oncology Registry Data Standards (FORDS), 2009 revision. Commission on Cancer
Australian Institute of Health and Welfare 2010. National health data dictionary. Version 15. National health data dictionary series. Cat. no. HWI 107. Canberra: AIHW
Standard Cancer Treatment and Management Pathways Program, Cancer Services and Education Division, eviQ Cancer Treatments Online. Cancer Institute NSW